NPI | 1487024683 |
---|---|
Former Name | JESSICA TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI RN 78938) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: HI RN 78938) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2015-09-30 |